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Telemedicine in Pediatric Diabetes Care: The Way Forward?
Lokesh Sharma1, Eshita Bhowmik1, Zebish Ali1
1Department of Endocrinology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Indian Pediatrics
|January 4, 2025
Summary
Telemedicine effectively managed type 1 diabetes (T1D) in India, improving glycemic control and knowledge. This approach offers feasible outreach care, reducing costs and time for families managing T1D.
Area of Science:
- Endocrinology
- Digital Health
- Public Health
Background:
- Limited data exists on telemedicine's efficacy for type 1 diabetes (T1D) in India.
- Outreach care models are crucial for managing chronic conditions in diverse settings.
Purpose of the Study:
- To assess the non-inferiority of glycemic control in T1D patients using telemedicine.
- To evaluate the impact of telemedicine on diabetes knowledge scores.
- To determine the feasibility and cost-effectiveness of tele-diabetes care in India.
Main Methods:
- A study involving 59 individuals with T1D (age ≤ 25 years) was conducted.
- Paramedical staff provided routine care at outreach centers.
- Physician consultations were delivered via Zoom, with assessments at 6 months.
Main Results:
- Significant reduction in HbA1c levels from 8.47% to 8.0% (P=0.043).
- Diabetes knowledge scores improved significantly from 61.2 to 64.9 (P=0.022).
- Families saved a median of Rs 1500 and 10 hours per visit.
Conclusions:
- Tele-diabetes care is effective for managing T1D in the Indian context.
- Telemedicine facilitates outreach care delivery by multidisciplinary teams.
- This model demonstrates feasibility, improved patient outcomes, and resource savings.
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